Type two diabetes treatment

Clinton was diagnosed with type two diabetes 3 months ago. Clinton is a 40-year-old African-American man, married with 4 children, who works as a foreman of a loading dock.  He weighs 220.5 lb and has a body mass index (BMI) of 31.6 kg/m2. He is a current smoker. He is on no prescription medications. His current glycated hemoglobin (A1C) level is 7.8%. His total and LDL cholesterol concentrations are above normal. He complains of sleep disturbance. His vitals: pulse: 55 bpm, respirations: 22/min, BP: 148/92 mmHg.

1. What is your priority for treating this patient?

A. Focus on BP

B. Focus on glucose

C. Focus on lipids

D. Focus on weight

E. All of the above

2. For the treatment of hypertension, what is the recommended class of antihypertensive agents for Clinton?

A. Renin-angiotensin system blockers (ACEI or ARB)

B. Calcium channel blocker

C. Beta-receptor blockers

D. Thiazide diuretic